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Related Concept Videos

Flail Chest-I01:24

Flail Chest-I

1.1K
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
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The Thoracic Cage: Ribs01:20

The Thoracic Cage: Ribs

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Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
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Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Flail Chest-II01:26

Flail Chest-II

925
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
925
Spontaneous and Induced Mutations01:30

Spontaneous and Induced Mutations

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Spontaneous mutations arise infrequently during DNA replication due to errors in the process. A key factor behind these errors is tautomeric shifts in nitrogenous bases, where bases transition from keto to enol forms or amino to imino forms. This shift can alter base-pairing rules, leading to mutations. Additionally, reactive oxygen species (ROS) arising from aerobic metabolism can damage DNA, resulting in depurination (loss of a purine base) or depyrimidination (loss of a pyrimidine base).
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Pneumothorax-I01:26

Pneumothorax-I

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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
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Related Experiment Video

Updated: Apr 12, 2026

A Surgical Procedure for Resecting the Mouse Rib: A Model for Large-Scale Long Bone Repair
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A Surgical Procedure for Resecting the Mouse Rib: A Model for Large-Scale Long Bone Repair

Published on: January 21, 2015

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Spontaneous rib fractures.

Ozgur Katrancioglu1, Yucel Akkas2, Sulhattin Arslan3

  • 1Department of Thoracic Surgery, Cumhuriyet University School of Medicine, Sivas, Turkey.

Asian Cardiovascular & Thoracic Annals
|May 10, 2015
PubMed
Summary

Severe cough can cause spontaneous rib fractures in patients with underlying lung conditions or osteoporosis, especially those on long-term steroid therapy. Chest X-rays are recommended for severe chest pain in these individuals.

Keywords:
AsthmaChest painCoughOsteoporosisPulmonary diseaseRib fractureschronic obstructive

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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
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Area of Science:

  • Pulmonology
  • Orthopedics
  • Pharmacology

Background:

  • Rib fractures can occur spontaneously, not just from trauma, often linked to severe coughing or sneezing.
  • This study investigates spontaneous rib fractures, analyzing patient demographics, underlying conditions, treatments, and outcomes.

Purpose of the Study:

  • To analyze the characteristics of patients experiencing spontaneous rib fractures.
  • To identify potential risk factors and associated pathologies for spontaneous rib fractures.

Main Methods:

  • Retrospective review of twelve patients with spontaneous rib fractures between February 2009 and February 2011.
  • Data collection included patient history, physical examination findings, and chest radiography results.

Main Results:

  • The study included patients aged 34-77 years, with a majority being male (58.4%).
  • Commonly affected ribs were the 4th to 9th, with 41.7% experiencing multiple fractures.
  • Prevalent underlying conditions included chronic obstructive pulmonary disease (66.7%), bronchial asthma (16.7%), and osteoporosis (16.7%), with patients on long-term steroid therapy.

Conclusions:

  • Spontaneous rib fractures are associated with severe cough in patients with osteoporosis, chronic obstructive pulmonary disease, or bronchial asthma, particularly those on long-term steroids.
  • Chest radiography is crucial for diagnosing bone lesions in patients with these conditions presenting with severe chest pain.